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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Remedy For Skin Rash On Anal Area

My old year old little boy has a bleeding ozzing rash on his anal area and on his bottom cheeks, he is unable to sit down he is generally well and healthy ... He has also been experiencing really loose, smelly and dark stools these have been present in 10 of the last 12 nappies.
Wed, 11 Feb 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

I suggest a possibility of either Irritant Dermatitis due to excreta coming in contact with skin and made even worse by diaper occlusion.
However I would like to keep another possibility of Zinc deficiency.
Zinc deficiency can present with bright red rash on perorificial areas like buttocks, perioral region as well as with acral distribution like fingers, toes etc.
Diarrhea is also part of Zinc deficiency in those who have it.
If I was the treating doctor I would suggest you to avoid diapers and keep the affected area open to air and as dry and clean as possible.
Topically you may use a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily.
I also suggest an Oral Zinc supplement for a few days.
I suggest you to visit a doctor for a confirmatory diagnosis as well as appropriate treatment.

Regards
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Suggest A Remedy For Skin Rash On Anal Area

Hello. Thank you for writing to us at healthcaremagic I suggest a possibility of either Irritant Dermatitis due to excreta coming in contact with skin and made even worse by diaper occlusion. However I would like to keep another possibility of Zinc deficiency. Zinc deficiency can present with bright red rash on perorificial areas like buttocks, perioral region as well as with acral distribution like fingers, toes etc. Diarrhea is also part of Zinc deficiency in those who have it. If I was the treating doctor I would suggest you to avoid diapers and keep the affected area open to air and as dry and clean as possible. Topically you may use a moderately potent topical steroid e.g fluticasone propionate 0.05% cream, twice daily. I also suggest an Oral Zinc supplement for a few days. I suggest you to visit a doctor for a confirmatory diagnosis as well as appropriate treatment. Regards